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Borras C.,Health Technology Task Group HTTG | Calil S.J.,University of Campinas | David Y.,Biomedical Engineering Consultants LLC | Pallikarakis N.E.,University of Patras | Secca M.F.,New University of Lisbon
IFMBE Proceedings | Year: 2015

Purchasing, installing, and commissioning radiological equipment may be complex and expensive tasks depending on the type of equipment. Maintaining it so that the manufacturer’s specifications continue to be met years after years of clinical use presents challenges. Updating software may be critical, but it may not be free; yet, it is usually not included in the purchasing price. After the warranty period is over, medical facilities are faced with difficult maintenance choices. And if the equipment is donated, the problems may be even worse, due to lack of spare parts and/or operation and maintenance manuals, or even because of the language of the written instructions and displays, which may be in the original donor’s language. An additional challenge is how to decide when equipment shall be discarded because of obsolescence or safety issues. What is the process and who is to make the decision? This workshop will explore the role of biomedical engineers at the design stage, the clinical engineers role in the training of local staff and coordinating with the manufacturer’s representatives for basic service issues (i.e. fuse or electronic board replacement), the advantages and disadvantages of contracting 3rd party vs manufacturers maintenance services and the added complication, usually dealt with by medical physicists, of ensuring radiation safety and compliance with national/ international radiation protection regulations. The critical matters in developing countries, where often facilities will ask a donor for new equipment rather than fixing the otherwise adequate one, will be emphasized. Cost issues, training issues, environmental limitations, attitudes, all play roles - what can biomedical/clinical engineers and medical physicists do to alleviate the problems? Of the various alternatives to provide service, which one is the best, when, where, why? Suggestions for solutions from the audience will be elicited and final recommendations by the panel will be drawn. © Springer International Publishing Switzerland 2015.

Honan L.,Yale University | Funk M.,Yale University | Maynard M.,Yale University | Fahs D.,Yale University | And 3 more authors.
American Journal of Critical Care | Year: 2015

Background: Alarm hazards are a critical issue in patient safety. Of all health care providers, nurses are the ones most directly affected by the multitude of clinical alarms. Objectives: To qualitatively explore nurses' experiences with clinical alarms. Methods: The Krippendorff method for content analysis was used to analyze comments provided by 406 nurses in a national survey on perceptions of clinical alarms. Results: Six interrelated themes emerged: dissonance and desensitization; pollution, panic, and pathology; calling for accountability; calling for authority of nurses; clinical alarm management is crucial but not a panacea; and hope for the future. Conclusions: Nurses are concerned about the impact of alarm fatigue on nurses and patients, recognize the importance of nurses' role in reducing noise pollution, and offer valuable insight into strategies that can mitigate alarm hazards. © 2015 American Association of Critical-Care Nurses.

David Y.,Biomedical Engineering Consultants LLC
IFMBE Proceedings | Year: 2011

Jurisdictions of all sizes, from nation to tribal government, are responsible for saving life, protecting property, protecting the economic base of the community and preserving the environment. When it comes to protecting the lives of patients and staff, and function of healthcare delivery system the burden is magnified due to the critical dependency of the hospital community on its technology and external resources to operate. Healthcare professionals need plans, management tools, and training to help them deal with manmade or natural disasters in the most effective way possible. The clinical engineering community is of no exception to these requirements. © 2011 Springer-Verlag Berlin Heidelberg.

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